Student Self-Certification Form

For a sample application, please click on the link at the bottom of the page.

Federal government regulations require that a lender must obtain a self-certification form signed by the loan applicant before disbursing a private education loan. Student borrowers must complete the application (which is provided by the lender as part of the application process) and return it to the lender (do not send it to NYU). Please see below for a sample application.